named patient basis

we are trying to get naturethroid on the NHS. until recently, the GP would not prescribe, saying there was no evidence that it works. since then, after getting it on a private prescription via a friend who's a GP, the consultant wrote again to the NHS GP showing what a good effect it was having on the blood results, and the GP said he would go back to the PTC to get permission to prescribe it on a named patient basis. that was at the end of 2012, and still nothing has happened. soemone suggested that the problem may be that the GPs can't prescribe the medication because apparently there is a new schedule which advises GPs not to prescribe medications with which they are not familiar and which are not in the British National Formulary.

does anyone know anything about this?

4 Replies

  • The new GMC Good medical practice 2013 document (which has just come into force) says this:

    16 In providing clinical care you must:

    a prescribe drugs or treatment, including repeat prescriptions, only

    when you have adequate knowledge of the patient’s health and

    are satisfied that the drugs or treatment serve the patient’s needs

    b provide effective treatments based on the best available evidence

    You could see that as saying the doctor should not prescribe medicines with which they are not familiar. However, there must be a first time for every medicine! In which case I argue that the rest of that self-same guidance, which puts the needs of the patient at the top of the list, means the doctor needs to find out, be guided by colleagues (especially those senior in rank and with specialised knowledge such as consultants), and do what is required. That might indeed include prescribing desiccated thyroid. And, indeed, taking all the steps necessary to ensure that he is not prevented from doing so - such as taking it up with the PCT (or whoever is now in charge!).


  • Hi,

    Have you seen the information here? It may help with your GP.

    Jane x

  • As a general piece of information for all, the MHRA say his:

    Under the regulation 46 of The Human Medicines Regulations 2012 (SI 2012/1916) all medicines must have a marketing authorisation ('Product Licence') unless exempt. One of these exemptions, in regulation 167 to these regulations, is for the importation and supply of unlicensed relevant medicinal products for the special needs of individual patients, commonly, but incorrectly called 'named patients'.


  • I have been fighting a long hard battle to get NDT on NHS. GP is not interested in educating herSElf, changed GPs and they are all the same. I provided all the necessary scientific documentation and still they don't care.

    After long fight got ref to NHS endo who wrote GP and advised her to prescribe it and still she will not. And of course there is no accountability for her service failures.

    It is no wonder so many are forced to self medicate with self-sourced products. The NHS is set up to allow GPs to destroy your health without being accountable.

    Remember, they get funding points for you having Hypo T - NOT for treating it, just for you having it. I ascertained this via a FOI request. So there is no incentive to offer you the treatment that is effective for you.

    In my personal opinion, nhs gpS literally have a license to kill.

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